| 12/21/2011 |
| 07:21:29 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| KIRSEBOM, NICOL, | 1Z-003702 | R | 91.36 | 4342********2177 | 559394 | 12/21/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 91.36 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 91.36 |